| NPI | 1760116313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0018754) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC0017696) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-10-09 |